Teristan Cooper, LPC Valid NPI
Individual provider · Professional Counselor · Mableton, GA
- NPI
- 1174133128
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC011471 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-08-05
- Last updated
- 2025-08-04
Practice location
981 Regal Hills Ln
Mableton, GA 30126-7260
(404) 291-6596